A nurse is assisting with the care of a client 2 hr postoperative following a cardiac catheterization. Which of the following actions should the nurse take?
Check the client's distal pulses in both legs.
Keep the client overnight.
Keep the client on bed rest for 12 hr.
Restrict the client's oral fluids.
The Correct Answer is A
A. Check the client's distal pulses in both legs:
Checking the client's distal pulses in both legs is crucial to ensure that there is adequate blood flow and no signs of arterial occlusion or complications from the catheterization. This is an important assessment to detect potential vascular complications, such as a hematoma or an arterial blockage.
B. Keep the client overnight:
Keeping the client overnight is not typically required for all cardiac catheterization procedures. The need for an overnight stay depends on the individual case and any complications or comorbidities. Routine catheterizations often allow for discharge on the same day with appropriate monitoring.
C. Keep the client on bed rest for 12 hr:
Keeping the client on bed rest for 12 hours is excessive. Typically, bed rest is required for 2 to 6 hours following the procedure to allow the puncture site to stabilize and reduce the risk of bleeding. The exact duration of bed rest depends on the approach used and the patient's condition.
D. Restrict the client's oral fluids:
Restricting the client's oral fluids is generally not appropriate. In fact, increasing fluid intake is often encouraged to help flush out the contrast dye used during the procedure and to prevent renal complications. Monitoring for fluid balance is important, but outright restriction is not typically indicated unless there is a specific medical reason.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
Let's calculate how many tablets the nurse should administer:
Dosage prescribed: The doctor prescribed digoxin 0.25 mg.
Tablet strength: Each available tablet contains 0.125 mg of digoxin.
To find out how many tablets are needed, we can divide the prescribed dosage by the amount of digoxin per tablet:
Number of tablets = Prescribed dosage / Amount of digoxin per tablet
Number of tablets = 0.25 mg / 0.125 mg/tablet
Since we might get a decimal result due to the division, we need to round to the nearest whole number of tablets the nurse can administer for safety reasons.
In this case, dividing 0.25 mg by 0.125 mg/tablet gives us 2.
Therefore, rounding up to the nearest whole number of tablets, the nurse should administer 2 tablets.
Correct Answer is A
Explanation
A) Atropine:
Atropine is a medication used to increase heart rate. It acts by blocking the parasympathetic nervous system, leading to increased heart rate. It is commonly used to treat bradycardia, which is characterized by a heart rate less than 60 beats per minute. In this scenario, with the client's apical heart rate at 49/min, indicating bradycardia, the nurse should prepare to administer atropine to increase the heart rate.
B) Verapamil:
Verapamil is a calcium channel blocker that can decrease heart rate. It is used to treat various cardiac conditions, but it is not appropriate for a client with bradycardia, as it would further lower the heart rate.
C) Digoxin:
Digoxin is a medication used to treat heart failure and certain arrhythmias, but it does not directly increase heart rate. In fact, it can exacerbate bradycardia in some cases.
D) Carvedilol:
Carvedilol is a beta-blocker that can decrease heart rate. It is used to treat hypertension, heart failure, and other cardiovascular conditions, but it is not appropriate for a client with bradycardia, as it would further lower the heart rate.
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